Management of blunt rupture of the heart

John H Calhoon, T. H. Hoffmann, J. K. Trinkle, P. K. Harman, F. L. Grover

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Ten patients with blunt heart rupture arrived in our emergency center alive during an 11-year period ending in 1984. Ages ranged from 19 to 65 years (mean, 35), and seven patients were male. Six patients presented with tamponade, three with hemorrhagic shock, and one with combined symptoms. Associated injuries averaged 2.25 organ systems per patient. All but one patient had surgery within 90 minutes of arrival. All patients had primary closure of the defect without cardiopulmonary bypass, five patients had subxiphoid window followed by sternotomy, two had right thoracotomy, two underwent left thoractotomy, and one patient was subjected to immediate sternotomy. Seven patients survived. Three deaths were due to irreversible hemorrhagic shock, two secondary to heart injury, and one from an associated liver injury. Prompt pericardial window with subsequent median sternotomy was successful for patients presenting with tamponade and immediate thoracotomy for those bleeding into a pleural cavity.

Original languageEnglish (US)
Pages (from-to)495-502
Number of pages8
JournalJournal of Trauma
Volume26
Issue number6
StatePublished - 1986

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Heart Rupture
Sternotomy
Hemorrhagic Shock
Thoracotomy
Heart Injuries
Pleural Cavity
Wounds and Injuries
Cardiopulmonary Bypass
Emergencies

ASJC Scopus subject areas

  • Surgery

Cite this

Calhoon, J. H., Hoffmann, T. H., Trinkle, J. K., Harman, P. K., & Grover, F. L. (1986). Management of blunt rupture of the heart. Journal of Trauma, 26(6), 495-502.

Management of blunt rupture of the heart. / Calhoon, John H; Hoffmann, T. H.; Trinkle, J. K.; Harman, P. K.; Grover, F. L.

In: Journal of Trauma, Vol. 26, No. 6, 1986, p. 495-502.

Research output: Contribution to journalArticle

Calhoon, JH, Hoffmann, TH, Trinkle, JK, Harman, PK & Grover, FL 1986, 'Management of blunt rupture of the heart', Journal of Trauma, vol. 26, no. 6, pp. 495-502.
Calhoon JH, Hoffmann TH, Trinkle JK, Harman PK, Grover FL. Management of blunt rupture of the heart. Journal of Trauma. 1986;26(6):495-502.
Calhoon, John H ; Hoffmann, T. H. ; Trinkle, J. K. ; Harman, P. K. ; Grover, F. L. / Management of blunt rupture of the heart. In: Journal of Trauma. 1986 ; Vol. 26, No. 6. pp. 495-502.
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